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Exploring OB/GYN provider knowledge, practice and confidence levels before and after ACEs training
Nadi Nina Kaonga, Alexandra Turnbull, Paula Vokey, and Julia Brock
Trauma-informed training on ACEs improves provider confidence on screening and treating their prenatal patients.
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Novel roles of miR-199b in regulating fat and bone metabolism
Aldona Karaczyn, Victoria DeMambro, Jennifer Daruszka, Patrizia Roy, Clifford Rosen, and Calvin Vary
Public Health Problem:
The incidence of obesity has reached epidemic proportions worldwide and has contributed to an increase in the risk of numerous chronic disorders-type 2 diabetes-liver pathologies, dyslipidemia, and cardiovascular diseases.
Obesity can have negative effects on bone remodeling-reduced mineral density-osteoporosis
Imbalance between food intake and energy expenditure-obesity-accumulation of fat mass and energy storage in white adipose tissue (WAT).
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Insulin Signaling in Osteocytes in Bone Development
Vivin Karthik
Hypothesis: IRS1/2 signaling is necessary for osteocyte development and function
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Naloxone Co-Prescribing Across a Large Health System: A Quality Improvement Project
Marc D. Kimball, Sarah Hemphill, and Kristen Silvia
Introduction:
• Naloxone availability and administration saves lives
• The CDC recommends naloxone co-prescribing for patients with OUD and other eligibility criteria
• Maine Medical Center’s baseline was found to be 6% in one clinic. This held true across the entire MaineHealth system.
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Improving Diabetic Retinopathy Screening Rate in a Rural Primary Care Setting Using Point of Care AI Technology
Shane Kirkegaard
Point of Care AI Technology Poised to Improve Diabetic Retinopathy Screening Rate in Rural Primary Care Setting
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Measuring Vastus Medialis Cross-Sectional Area with Panoramic Ultrasound Over Time
Kaitlin Minnehan, Elizabeth Scharnetzki, Kaitlyn Chin, Christina Holt, and William Dexter
Panoramic ultrasound detected a statistically significant decrease in the VM CSA of participants after 70 days of bedrest without exercise.
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Preventive healthcare services receipt and primary care provider utilization among people who inject drugs
E K. Nenninger and Kinna Thakarar
Introduction:
People who inject drugs (PWID) face barriers to accessing primary care providers (PCPs) and preventive services, but are at increased risk for preventable infections
Preventive services can be accessed through PCPs, or while hospitalized or at community organizations like syringe service programs (SSPs)
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Evaluation of the Multidisciplinary Endocarditis Treatment Team at Maine Medical Center
Bridget C. Olsen
Maine Medical Center started a Multidisciplinary Endocarditis Treatment (MET) team to improve the care of patients with IE by streamlining consults and coordinating care between multiple specialties.
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Institutional Experience with Primary Interventional Radiology Sclerotherapy for Lymphatic Malformation
Obiyo Osuchukwu, Brenton Reading, Charlene Dekonenko, Wendy Jo Svetanoff, Jeff Thekkekara, Douglas C. Rivard, Charles L. Snyder, and Tolulope A. Oyetunji
Interventional Radiology Sclerotherapy is effective for treatment of primary and recurrent lymphatic malformations
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The Effect of High Fat Diet on Marrow Adipocytes from C57BL/6J (B6) Mice
Gisela Pachón-Peña, Clifford J. Rosen, and Samantha Costa
In mice models, the administration of a high fat diet (HFD) is an accelerating factor for metabolic syndrome, impaired glucose tolerance, and early type 2 diabetes mellitus (T2DM) (1)
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Resilience of regional hospital nursing staff working during the COVID-19 pandemic measured by the Connor-Davidson resilience scale
Jill Petzel Baer
Low resilience is widespread in nursing staff during the COVID-19 pandemic
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A Period Seroprevalence (SARS-CoV-2) Survey in MHCCN Cancer Healthcare Workers (HCWs) Providing Patient Care during the Height of the Outbreak: A Registry Study (Initial Progress)
Jill Prescott, Caroline Knight, Erin Hobart, Jamie Saunders, Kimberly Caron, Sandra Neptune, Patty Brown, Lisa Lemire, Anne Breggia, Susan L. Guierin-Staples, Lee Lucas, Paul Han, Rachit Kumar, Robert Carlson, and Scot Remick
Introduction: There is little information on the basic epidemiologic and serologic profile(s) of the novel SARSCoV- 2 coronavirus especially in HCWs employed in rural settings. We embarked on a period seroprevalence study in the MaineHealth Cancer Network (MHCCN) to document Covid-19 exposure in our rural cancer care workforce. Our fundamental hypothesis is that despite implementing procedures to safeguard patients and the use of appropriate PPE in the care of known source patients/PUIs in both the inpatient and outpatient cancer care settings a small, but not insignificant number of cancer care providers (hereafter referred to as cancer HCWs) will have evidence of exposure by virtue of plasma antibody seroconversion.
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Multiple myeloma cells Graphs and Figures inhibit adipogenesis, increase senescencerelated and inflammatory gene transcript expression, and alter metabolism in preadipocytes
Michaela R. Reagan, Heather Fairfield, Samantha Costa, Carolyne Falank, Mariah Farrell, Connor S. Murphy, Anastasia D'Amico, and Heather Driscoll
Myeloma cells alter metabolism & induce senescence in adipocyte-lineage cells, suggesting that senescence-associated proteins are involved in multiple myeloma.
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Resident Instruction in Social Emergency Medicine
Heidi Roche, Christine Knettel, Brandon Knettel, Justin Myers, Jessica Dunn, and Timothy S. Fallon
Understanding social determinants of health (SDH) and their intersection with emergency medicine, also known as social emergency medicine (SEM), is an important area of EM training.
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Family planning outpatient provider survey; evaluating resident confidence in knowledge of family planning topics and barriers to providing effective care
Hannah Rosenfield and Kohar Der Simonian
The Question-
How do residents feel about their knowledge and skills in applying evidence- based care around contraception, miscarriage management and options counseling?
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Parent experience of HIE and hypothermia: A call for trauma informed care
Anna Sagaser, Betsy Pilon, Annie Goeller, Monica Lemmon, and Alexa Craig
Objective:
To assess parents’ experience of communication with the medical team and involvement with their infant during HIE treatment.
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Safe injection to prevent infection: Specific injection practices are associated with Hepatitis C exposure, suggesting opportunities for targeted harm reduction intervention for people who inject drugs in Maine
N P. Sankar, K Murray, D Burris, and K Thakarar
Background
• The U.S. opioid epidemic has contributed to an increase in infections related to IDU, such as HCV
• Transmission of HCV has been linked to unsafe injection practices
• This study aims to characterize risk factors associated with HCV exposure amongst people who inject drugs in Maine Methods
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MaineHealth as a Partner in the National COVID Cohort Collaborative (N3C)
Susan Santangelo, Ivette Emery, Kim Murray, John DiPalazzo, David Denton, and Cliff Rosen
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Communicating about COVID-19: Strategies for promoting risk-reducing behaviors on Facebook
Liz Scharnetzki, Nikki Jarvais, Elizabeth Rintz, Leo Waterston, David Pied, and Paul Han
Introduction- Controlling the COVID-19 pandemic requires effective public health communication strategies that can promote risk-reducing behaviors despite scientific uncertainties about their effectiveness. The current project developed and tested different theory-based communication strategies for generating public interest in COVID-19 risk-reducing behaviors. • Assessed the efficacy of two novel message frames – destigmatizing and uncertainty normalizing - relative to existing strategies
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Dietary Patterns and PFAS Plasma Concentrations in Childhood: Project Viva, USA
Shravanthi M. Seshasayee, Sheryl L. Rifas-Shiman, Jorge E. Chavarro, Jenny L. Carwile, Antonia M. Calafat, Sharon K. Sagiv, Emily Oken, and Abby F. Fleisch
Children who adhered to a dietary pattern of primarily packaged foods and fish had higher plasma concentrations of select PFAS, reflective of food intake and/or correlated lifestyle factors.
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Control of perivascular adipose tissue differentiation during cardiovascular disease
Katie Stieber
Hypothesis: Lower BMI will correlate with lower RAB27a expression
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Anterior-Based Muscle Sparing Approach for Total Hip Arthroplasty
Callahan M. Sturgeon, George M. Babikian, Brian J. McGrory, and Adam J. Rana
A high value, high quality and low cost surgery: a 7.5 year single-center, retrospective case series
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Prolonged Thunder Before the Storm – Diagnosis of Aortobronchial Fistula After 28 months of Recurrent Hemoptysis
Hilamber Subba, Truc Ta, and Edmund Sears
Aortobronchial fistula (ABF) should always be considered in patients with hemoptysis and previous thoracic surgery, however the diagnosis is known to be difficult both clinically and radiographically1. We present a case with the longest indolent course of hemoptysis reported to date .
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Facilitators and Barriers to Accessing Harm Reduction Services in a Rural State
Kinna Thakarar, Michael Kohut, Deb Burris, Hannah Loeb, Rebecca Hutchinson, and Kathleen Fairfield
INTRODUCTION
• The impact of social distancing policies during the COVID-19 pandemic on people who inject drugs (PWID) is not known.
• We aimed to describe the impact of the pandemic on PWID access to harm reduction services in Maine
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Impact of Bowel Management Guidelines on Documentation and Patient Outcomes in the Intensive Care Unit
Alana Trottier, Paul Blakeslee, and Kristiina Hyrkas
Introduction
• Bowel management (BM) is an inadvertently overlooked aspect of patient care for critically ill patients who have complex, immediate life-threatening health issues.
• Bowel dysfunction is common with the reported incidence of diarrhea between 3.3%-78% and constipation between 20-83%
• Studies suggest that BM guidelines can standardize care, improve documentation, and impact patient outcomes
• Use of BM guidelines has remained low, probably influenced by clinicians’ resistance to change, resulting in small to moderate improvements and difficulties sustaining new practices
• We anticipated that sustained changes require recognizing clinicians’ current practice, integrating modifications into existing workflow, and engaging staff to contribute to any proposed changes
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